Key Reports in a Health Record, Such as History and Physicals

question 665

Multiple Choice

Key reports in a health record, such as history and physicals, discharge summaries, and operative reports, are generally dictated and transcribed. This recommended standard contributes most to data

• A) timeliness.
• B) accuracy.
• C) legibility.
• D) security.

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Definitions:

Relational Aggression

A form of aggression aimed at damaging or manipulating relationships, including social exclusion and spreading rumors.

Instrumental Aggression

Aggressive behavior aimed at achieving a specific goal or obtaining an object, not merely to cause harm.

Sociometric Status

A measure of an individual's acceptance and popularity within a peer group, based on social networks and interactions.

Basic Social Skills

Fundamental interpersonal abilities necessary for successful social interaction, including communication, empathy, and cooperation.